Individual
DR. ZACHARY JAMES DOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10106 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1639
(260) 242-2476
Mailing address
3208 BREYERTON CV, FORT WAYNE, IN 46814-0001
(260) 242-2476
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001419A
IN
Other
Enumeration date
11/30/2011
Last updated
03/15/2024
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